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Exercise‐induced ventricular arrhythmia due to bilateral coronary to pulmonary artery fistulas
Author(s) -
De Roeck Frederic,
Franssen Constantijn,
De Wolf Daniel,
Haine Steven
Publication year - 2019
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.28108
Subject(s) - medicine , cardiology , coronary angiogram , artery , pulmonary artery , coronary steal , fistula , left coronary artery , myocardial ischemia , coronary arteries , right coronary artery , ischemia , radiology , coronary angiography , myocardial infarction
Ischemic polymorphic ventricular ectopy was documented during exercise testing in a 65‐year‐old Caucasian male patient. Coronary angiogram revealed four coronary to pulmonary artery fistulas (CPAFs) originating from the right and left coronary artery, leading to myocardial ischemia due to steal phenomenon. The three dominant fistulas were coiled percutaneously, while one small fistula was left untreated. During follow‐up, no significant residual ventricular arrhythmia was detected.